Abstract
Objective: To present initial data of return to normal voiding function after vesica-bone anchoring sling for stress urinary incontinence.Methods: Thirty women from February 1997 through October 1999 underwent a bone anchor sling procedure for stress urinary incontinence and/or intrinsic sphincter deficiency. Their average age as 58.8 years (43–77); 19 were white, 11 Hispanic. Three types of slings were used: protogen (synthetic), cadaveric fascia, and alloderm. Indications were stress alone (21), stress plus ISD (6), and mixed (3). The standard of care was to leave the Foley catheter in place for 3 days. A trial of voiding on postoperative day 3 involved catheterization after a 2nd spontaneous void. If residual was greater than 175 mL, the catheter was left in place and trial of voiding repeated in 3–7 days. Protogen (n = 10)Fascia (n = 9)Alloderm (n = 11)Total (n = 30)Average time to nl void11.137.889.7 d9.65 dRange (days)3–273–133–333–33Results: There was no significant difference between the sling types. No patients required prolonged catheterization past 33 days. One patient required midline excision of sling on postoperative day 248 for persistent slightly elevated residuals (100–125 mL) and repeat urinary tract infections.Conclusions: Contrary to previously reported data, normal voiding with removal of the catheter immediately postopera-tive is unlikely; however, it is also unlikely for the patient to require catheterization for longer than 1 month.
Published Version
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